月经相关性痤疮病因病机的认识现状

Current Situation of the Etiology and Pathogenesis of Menstrual Related Acne

本文通过梳理中西医对月经相关性痤疮病因病机的研究,对月经相关性痤疮的发病机理进行综述,以便给临床中西医结合治疗本病提供思路。西医认为,月经相关性痤疮主要受到遗传因素基础上,性激素水平周期性变化的影响,性激素的周期性波动使得女性身体整体健康状况、皮肤生理功能都呈现不同程度的变化,从而影响本病的发生和加重。中医认为,女性本气有余而血不足,月经相关性痤疮主要以素体肾阴不足,相火偏亢为基础,加之经行伤血,饮食、情志、生活等失调,火热相结循经上蒸,郁滞局部气血等所致。

By combing through the research on the etiology and pathogenesis of menstrual-related acne in traditional Chinese and Western medicine, this article provides a comprehensive review of the pathogenesis of menstrual-related acne, with the aim of providing insights for the clinical integrat-ed treatment of this disease by combining traditional Chinese and Western medicine. Western medicine believes that menstrual-related acne is mainly influenced by the cyclical changes in sex hormone levels on the basis of genetic factors. The cyclical fluctuations of sex hormones make changes in the overall health condition and skin physiological functions of women, thereby affecting the onset and exacerbation of this disease. TCM believes that in women, excessive inherent qi and insufficient blood lead to menstrual-related acne, mainly based on deficient kidney yin and exces-sive pathogenic fire in the body. In addition, the injury to blood during menstruation, as well as di-etary, emotional, and lifestyle imbalances, cause the accumulation of pathogenic heat in the merid-ians, leading to stagnation of local qi and blood.